[38F] With vaginal swelling and irritation

Patient Description

A 38-year-old female has been experiencing vaginal swelling and irritation for the past four months. She has attempted to alleviate the symptoms using Monistat, vaginal cream, and mild soap. Additional symptoms include painful urination, small cuts on the vulva, and intermittent itchiness on the vaginal lips. The patient reports a white and green discharge without any odor and experiences pain during intercourse. There have been no changes in her menstrual cycle, and she has not had any new sexual partners recently. STI testing has not been conducted yet, but she plans to do so. There are no associated fevers or chills, and no recent use of antibiotics or new medications. Her medical history includes a diagnosis of Hepatitis C eight years ago. She has no known allergies and is not currently on any medications. Her last pelvic exam and Pap smear were conducted two years ago, with normal results.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Yeast Infection: This is a common cause of vaginal irritation, itching, and discharge. The discharge is typically white and thick, but variations can occur.

    • Treatment usually involves antifungal medications, which can be over-the-counter or prescribed by a doctor.

  • Bacterial Vaginosis (BV): This condition can cause unusual discharge and irritation. The discharge is often grayish-white and may have a fishy odor, though not always.

    • Treatment typically involves antibiotics prescribed by a healthcare provider.

  • Sexually Transmitted Infections (STIs): Conditions like trichomoniasis can cause greenish discharge and irritation.

    • Testing and treatment with antibiotics or antiparasitic medications are necessary.

  • Contact Dermatitis: Irritation from products like soaps or creams can cause itching and swelling.

    • Identifying and avoiding the irritant is key, along with using soothing creams.

What you can do

  1. Consult a Healthcare Provider: It's important to get a formal diagnosis and appropriate treatment. Consider getting tested for STIs as well.
  2. Avoid Irritants: Use unscented, gentle products for personal hygiene.
  3. Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
  4. Stay Hydrated: Drink plenty of water to help with urinary discomfort.

What you should look out for

  • Worsening Symptoms: If your symptoms worsen or don't improve with treatment, seek medical attention.
  • New Symptoms: Watch for fever, severe pain, or unusual bleeding, and consult a doctor if these occur.

Remember, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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2 mo ago

People Also Ask

What are the common symptoms of a yeast infection?

Common symptoms of a yeast infection include vaginal itching, irritation, swelling, and a thick, white discharge that resembles cottage cheese. Pain during urination and intercourse can also occur.

How can bacterial vaginosis be distinguished from a yeast infection?

Bacterial vaginosis often presents with a thin, grayish-white discharge that may have a fishy odor, whereas a yeast infection typically has a thick, white discharge without a strong odor. Itching and irritation are more common with yeast infections.

What are the potential causes of greenish vaginal discharge?

Greenish vaginal discharge can be caused by sexually transmitted infections such as trichomoniasis. It is important to get tested for STIs to determine the exact cause and receive appropriate treatment.

How can I prevent irritation from personal hygiene products?

To prevent irritation from personal hygiene products, use unscented and gentle products. Avoid douches, scented soaps, and bubble baths. Opt for hypoallergenic products and wear breathable cotton underwear.

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